Text Messaging and Cognitive Behavioral Therapy for Depression (Txt4CBT)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01083628
Recruitment Status : Unknown
Verified May 2015 by University of California, San Francisco.
Recruitment status was:  Enrolling by invitation
First Posted : March 10, 2010
Last Update Posted : May 15, 2015
Information provided by (Responsible Party):
University of California, San Francisco

Brief Summary:
This study will assess the feasibility and acceptability of using mobile phone text messages (SMS) as adjuncts to existing group cognitive-behavioral treatment (CBT) for depression at San Francisco General Hospital. Patients in current groups will be given the option to participate in a text-messaging adjunct in lieu of the usual paper and pencil "homework" that is typically assigned during group sessions. They will also be provided with CBT relevant "tips and skills" to employ during particularly stressful times. Participants will receive daily text messages asking them what their mood is, this will help them become aware of their mood state and provide feedback to the group leaders as to the progress of the patient. Patients will also receive 1-2 additional messages a day depending on the module of focus for that month (i.e. thoughts, activities, people, and health). These additional messages include 1) thought tracking (both positive and negative), 2) tracking of pleasant activities, 3) tracking of positive and negative contacts, 4) tracking of physical wellbeing. Additionally, participants will receive reminders of weekly group meetings in an attempt to improve adherence. Patients that are taking medication will be offered to receive reminders to take medication according to their prescribed regimen. Another component of the SMS messages will allow patients to text the keyword STRESSED and receive a randomly generated message that will suggest cognitive and behavioral tips to counteract the stress or sad mood. They will also be able to text the word HELP and receive the number for a suicide hotline or be prompted to contact 911 for an emergency. Lastly, participants will be given feedback on their mood, behaviors and cognitions through visual graphs that display their status over time. This will allow patients to see the connection between mood behavior and cognition. This study is not intended to test hypotheses.

Condition or disease Intervention/treatment Phase
Depression Behavioral: Txt4Mood Phase 1 Phase 2

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 30 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Using Text Messaging to Enhance Cognitive Behavioral Therapy (CBT) for Depression
Study Start Date : March 2010
Estimated Primary Completion Date : June 2016
Estimated Study Completion Date : June 2016

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Text Messaging Adjunct Behavioral: Txt4Mood
Mobile phone based text messaging to inquire about mood, cognitions, and behaviors on a daily basis.

Primary Outcome Measures :
  1. Depression Symptoms [ Time Frame: 3 months ]
    Depression symptoms according to 20 item CES-D measure.

Secondary Outcome Measures :
  1. Patient Satisfaction [ Time Frame: 3 months ]
    Qualitative reports of satisfaction with text messaging as an adjunct to psychosocial treatment.

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Participation in CBT group at San Francisco General Hospital

Exclusion Criteria:

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01083628

United States, California
San Francisco General Hospital
San Francisco, California, United States, 94110
Sponsors and Collaborators
University of California, San Francisco
Principal Investigator: Adrian Aguilera, Ph.D. University of California, San Francisco

Additional Information:
Responsible Party: University of California, San Francisco Identifier: NCT01083628     History of Changes
Other Study ID Numbers: 68556-35551-01
First Posted: March 10, 2010    Key Record Dates
Last Update Posted: May 15, 2015
Last Verified: May 2015

Additional relevant MeSH terms:
Depressive Disorder
Behavioral Symptoms
Mood Disorders
Mental Disorders